Provider Demographics
NPI:1760791818
Name:VAUGHN HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:VAUGHN HEALTH SERVICES INC.
Other - Org Name:COMFORCARE OF PIMA AZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:STARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-297-4333
Mailing Address - Street 1:6727 N HOLE IN THE WALL WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-0839
Mailing Address - Country:US
Mailing Address - Phone:520-906-5041
Mailing Address - Fax:
Practice Address - Street 1:6727 N HOLE IN THE WALL WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-0839
Practice Address - Country:US
Practice Address - Phone:520-906-5041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care